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Healthcare Compliance

Home visit supervisory visit

Answer each item. Not applicable items do not count against the score.

  1. 1. Worker arrived on time and checked in
  2. 2. Care plan tasks were done
  3. 3. Patient satisfied with care
  4. 4. Home safety concerns noted and reported
  5. 5. Worker cleaned hands and used gloves correctly
  6. 6. Visit note complete and signed by the patient